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CORONAVIRUS COVID-19 – March 19, 2020 CDC Call (Breaking News) POLISH SUBTITLES


hello everyone welcome to CDC's private sector partner call we're so grateful that you've joined us today with me is dr Nancy Matheny a she's the director of the National Center for immunization and respiratory diseases as well as the senior official for CDC's Cove in nineteen response good afternoon and thank you for joining us today happy to take a few minutes to go through an update and then I think we have some time for questions CDC is responding aggressively to the global outbreak of Cova 19 this is historic unprecedented outbreaks we really haven't seen anything like this since perhaps the pandemic of influenza in 1918 globally there are some where up to 80,000 cases across 169 whu-oh member countries and unfortunately more than 3,000 deaths in the United States there are about 10,000 cases with more cases really every day 3,000 new cases since yesterday every state in the United States has been impacted and as well as the District of Columbia Puerto Rico Guam and the US Virgin Islands and there have been 150 ovid deaths reported so far we should expect these numbers to go up over the next few days as we are really in an acceleration phase but different parts of the country have been impacted differently some states are well into their outbreaks where other states are really just beginning CDC is adapting some of our existing surveillance systems to better track over 19 and you'll be seeing more information on our website we do know that the virus is capable of spreading easily and sustainably from person to person and we also know that older people and people with severe chronic conditions are at higher risk for serious code 19 illness and so we're asking them to take special precautions and we're asking everyone to take special precautions to protect them I know that everybody wants to know how long this outbreak will last but the truth is we don't really know what we do know is that if we act together act now we can bend the curve of the epidemic so that less people are impacted and so that our health system and health sector has more time to catch up the duration of a outbreak and for many factors it depends on how well we do it social distancing and travel restrictions it does to depend a little bit on what is happening with sustained transmission in other countries it is a new virus we know some things about it from research here and some things about it from other countries and we know about similar viruses but we have some details that we don't specifically know yet for example the duration of immunity after infection and all the details about transmission and clinical severity there are upwards of 50 mathematical modelers across the United States working on these kind of questions and we have a lot of data that we're looking at to try to make these predictions which I know we all want the next point is what you can do and we are at a phase where we really need everyone to come together to respond to this public health threat on March 16th the White House current virus task force and the President issued new guidelines to help protect Americans this is called the 15 days to slow the spread it lays out guidelines for a nationwide effort to slow the spread and it calls for implementation of measures to increase social distancing between people at all levels of society this is a massive proactive preventive response to Co the 19 to fold the spread and blunt the impact of the disease on the United States but in order to do this we need everyone's help to pitch in everyone across all of our communities has a role to play we're asking people all across the country to stay home as much as possible and pass this social distancing which means that we're decreasing the opportunity between people this includes cancelling or postponing gatherings of more than 10 people in closing schools in some areas as determined by local and state government we've asked about we've been asked about guidelines for working outside and the guidance remains the same say 6 feet apart that's about two arms length and costs and fees into your arm because you don't want to expose other people to your coughs and sneezes you need to know that there is no vaccine currently to protect against coated 19 and scientists are working as fast as they can but even with that it likely will be a year before we have a vaccine that we can give to everyday Americans and there aren't any approved medications to treat it yet there are a whole bunch of treatments that are being investigated and the president announced earlier today with FDA the rapid speed up of all of those treatments and we hope that we'll have specific treatment soon but those things that are not yet widely available and so we need to make sure that our clinicians have all the information they need to treat their patients we do know though that right now the best most effective thing that we can do is social distancing it actually sounds to some people make mundane that is stay home but in fact there's a bunch of scientific research on this with more than 20 different published articles that talk about what how effective social distancing can be when it's useful combination with other measures and we know that social distancing works better when it's implemented in concert with other measures we're calling these 15 days a pause a chance to reset but it really won't will only be effective if every community across the United States take it seriously now we do have a lot of guidance on our website and now we're really working on tools to help with implementing and translating that guidance so we have for example guidance for people who have been isolating at home to help determine when they can discontinue isolation that embrace' continues to be updated as more information is available we're reviewing and updating our travel notice is almost family there's currently what's called the level sorry I understand that we lost audio had to regroup over here hey technical difficulties but um let's see I'll start back with we do have have travel notices on our website that are being updated almost daily there's currently what's called a little to travel notice for the whole world which indicates ongoing community transmission and essentially what it means is that we're recommending that older adults and people of any age with serious chronical medical conditions should consider postponing non-essential travel to most global destinations domestically um we don't generally issue that kind of guidance but in general we're saying that people at high risk should stay home and that everyone should be thinking seriously about their travel especially globally but even domestically expect more more information about this every day we also have guidance documents for caring for someone at home if you have someone sick in your home with kovat 19 of course you should be taking care of them but you need to be doing it safely we don't want you to get infected to how to disinfect your home of someone sick and keep workplaces homes or commercial establishments safe we have guidance for child care settings health care professional fact sheets and a new landing page on our website for those at risk specifically older adults those underlying conditions and again check back every day on our website because you'll see more information and more tools daily of particular interest to you maybe our business guidance and the expanding guidance covering environmental cleaning and disinfection recommendations that addresses cleaning recommendations in various settings including answering questions we've heard about the bleach solution proportions for use on surfaces addressing linens and clothing and personal protective equipment another useful tool on our covent 19 website home page we now have a map of the United States shows the numbers of confirmed CO vid cases state by state but you can also click on your state to be taken to your state health department Ovid 19 page where you can get more detailed information for your state the intensity of an outbreak may differ according to geographic location the local health departments will have guidance specific to your communities before we open it up for Q&A s I would like to address some of the topics in areas many of you have already submitted questions on so okay let's start by we're getting a whole bunch of questions in here and we're going to try to aggregate them could you speak a little bit about how bad you think the pandemic will get so I think this is a really important question of course we all want to know how bad this is gonna get and how long it's gonna last right now we are in a acceleration phase that is we've seen 3,000 new cases since yesterday we're on the upward part of a curve and we should expect more acceleration over the next couple days that's why it's so important that we all act now and act together to bend that curve so that we can moderate the impact what that means is lowering the the curve so that we have less cases every day um and hopefully less cases total but also by having less cases every day we really can help the health sector catch up how long is it's gonna last I don't know for sure but I think we should expect to see at least some places have impact for this disease to the summer great thank you okay question about if someone is test positive it recovers and then is real is it possible to become reinfected again yeah this is a great question that we have been asked a lot this is a new disease it's only been discovered since beginning of the year and so there's some information that we don't have yet in general for most respiratory infections getting infected leads to immunity and that immunity protects you against either the whole disease or at least having serious disease so we're hoping certainly that that's true for covin 19 but this is an area where there's lots of research and I expect there to be more information than coming so we don't know for sure yet we certainly hope so Thanks okay many many questions from our partners about closures such as why childcare centers and schools are closing why some prisons are implementing restrictions while others are not is there any general advice you can give on closures so closure decisions are made at a state and local level CDC does provide guidance but ultimately the decision to close is made at the state and local health department level and for your businesses the decision should be made in conjunction with state and local health departments you know I talked about the acceleration of the epidemic curve and that is true nationally but this really does look differently in some communities compared to others some communities are already seeing a whole lot of disease and some communities are seeing very little and that may explain why guidance differs in different places but in general we are asking everybody across the country even in places that haven't yet seen a lot of disease to take this seriously and act now I know it's disruptive it's certainly disruptive for my family it's certainly disruptive for my colleagues here at CDC as we all figure out how to cope but working together is the best way for us to impact this disease right now thank you okay we're receiving a lot of questions from individuals unsure about continuing their regular doctor and dental appointments what advice do you have for them yeah it's really important right now that we take into account how long how much work our health care sector needs to do to take care of patients with kovin 19 to be able to make sure that those patients are taken care of a lot of doctors offices and a lot of communities are recommending that individuals postpone their regular doctor and dentist appointments and that's things like routine visits cleaning checkups elective procedures I would also say though that there are some things that we don't want to delay and if you have questions you need to call your health care provider for example childhood infant vaccines it's important that we still get those vaccines in but it's important that we do it safely and so if you have questions about your routine care you should contact your own health care provider who's best equipped to come up with recommendations for your particular situations great and in the inverse there's no questions from dentists or doctors wondering if they should continue to see patients yeah um I know that many dentists have elected to postpone routine visits cleanings checkups and elective procedures and I think that is partly also to make sure that the healthcare sector can focus on kovat 19 and also to make sure that the personal protective equipment that our healthcare doctors need um is reserved for those of a high-risk that is those who are taking care of kovat 19 patients thank you so a lot of people are asking questions related to when things will open again like restaurants when they'll be able to hold a conference or when they'll be able to go back to work yeah I mean I want to know when things will go back to normal as well and I think the answer is for now we all need to be in this together and we all need to be pausing how long it will take I don't know I think we need to expect there to be disruption through the spring but it looks will look differently in different communities it is going to be something that we all need to be working on together both causing together and then making decisions together about when to reopen and that's that's difficult to see but I do want to reassure everybody that you know as disruptive as this goal is going to be we need to know that this is going to end pandemics will end and how disruptive it is partly depends on us working together to bend that curve to make sure that that our healthcare sector can catch up but I can't tell you that it's gonna end by next week until we start really impacting this disease we have to expect that we're gonna have to ask a lot of each other and our communities and things that we consider to be routine may look a little differently for a while so a question from people in an area where a community spread has occurred should staff be wearing masks and also what is CDC stance on gloves well yeah I think the really important thing right now is to make sure that those who need masks have masks and that really is folks who are in the health care sector taking pair of patient with Kovan 19 so part of the reason that I would ask you and your employees to not try and go out and purchase masks is that we need to make sure that those who really need them have them health care workers are at highest risk and we need them to continue to be able to do their jobs so I'm asking you to please not go out and purchase masks and make sure that those who have a medium in terms of gloves most people in most jobs don't need gloves but that is something that um if there's questions you should be asking I'm looking at your what the specific job is and what the specific situation is in your community but in general this is something where what we're asking people to do is to do good hand hygiene just like your mom told you when you're growing up you need to be washing your hands not touching your face and for most people those are the right guidelines wash your hands don't touch your face stay away from other people that should protect you and also protect our communities thank you what do we do if we have a sick employee or if an employee has a sick family member so um I'll start with this information about who among your employees is sick actually um may have issues around confidentiality in terms of you disclosing that to other employees in the workplace you have to balance that of course against wanting to make sure that individuals that are exposed to that patient with kovat 19 are safe and we do have guidelines on our website about how to conduct a risk assessment employees who are exposed to a co-worker with kovat 19 can use those guidelines in order to look at their potential exposure now it's different if it's an employee who has a sick family member at home with Cova 19 in general employees who are well themselves but have a sick family member should notify their supervisor and refer to CDC guidance but at this point if you have a somebody that you live with in your family home who has kovat 19 you really should be staying home with them we don't want to risk you passing the disease along to your coworkers thank you okay this question let's see is from an employer who's not working in the medical field should or can employers check workers temperatures is it legal to do so that's a private company decision I would definitely check with your council on the legalities of doing that because it really will differ but we are at a place where we're asking all of you to really consider your policies on teleworking social distancing you have clearly a lot of folks on the phone are in different businesses and maybe you need to have your employees physically at work but if at all possible we're asking you to have your employees teleworking to the greatest extent possible that is part of social distancing not coming in contact with other people okay if an individual is sent home because they have a fever when should they be allowed to return to work the question oh so normally we ask if they have a doctor's note however given that the health care system is so overloaded is that necessary how should this be handled yeah um so brings me into something that I I'm going to talk about which is that we're are having a pandemic of Kovan 19 but it's also respiratory viral season we're at the end of influenza season so there is still influenza circulating and at this time of the there are a variety of other viral respiratory diseases that are circulating and I say that because if you have a runny nose and a sore throat in a cough it's possible that you have Co vat19 but it's also possible that you have many of the myriad of other viral respiratory diseases that are circulating we don't want people going into healthcare unless they need to for most individuals who are at low risk that is who are young who don't have chronic medical conditions if you have a fever a mild fever a cough or sore throat we want you to stay home stay home we don't think you generally need to go in for diagnostic we think you can ride this out at home for people who have chronic underlying conditions or who are older you need to contact your health care provider because you may well need to go in for a diagnostic and of course if you have you know serious illness and you're getting progressively worse you need to call 9-1-1 but in general we really do want people who are otherwise healthy to ride this out at home and we do have guidance on our website about when you can discontinue home isolation it's a little complicated so I would say go through it on our website but if it's been at least three days since you've recovered that is resolved your symptoms or at least seven days since the symptoms first appeared we think it's safe for you to go back to work but again as I said before what we're really asking is for everyone to tell us I'm working as much as possible so if you don't need to come back to work you can do your work from home we would definitely prefer that you do that thank you okay this question is from someone in a retail office with about 10 to 13 people there if someone is confirmed positive for a kovin 19 what are the guidelines for self quarantine is it automatic that everyone in the office would just self quarantine or if we are practicing social distancing with the others be able to continue working in so social distancing does mean that we want people to be at home as much as possible and of course it depends whether the bank branch has closed what the operations are you know and get our mass gathering guidance as we really want people to be far apart as much as possible so that we stop this thing slow it and we slow it down but in specific answer to your question they should self quarantine those with closed and frequent contact we do have guidance that allows you to assess risk and it looks a little different depending on how much contact you had with somebody with kovat 19 you need to clean and disinfect high touch areas and we need to stay apart as much as possible you know there are some other questions that we're getting asked a lot um and this reminds me to go back to that which is how is covin 19 spread people are wondering if it spread through the air if it's spread through surfaces in general it spread through respiratory droplets and what we know about the virus it's not airborne it doesn't spread through vents and airport buildings or in condominiums it's spread through respiratory droplets in general the virus seems to be spread mainly from person to person but it's also possible that a person can get Cova 19 by touching a surface or object that has a virus on it and then touching their your own mouth nose or eyes and so what that means is if you're standing next to somebody who has go over 19 and they COFF on the table in front of you and then you touch that surface right away and touch your own face and mouth and nose you you you could be exposed to Cova 19 we don't think this is the main way it's exposed we need to learn more about it and there are studies ongoing about the survivability of the virus on surfaces and that's why again it's important to cover your cough to not touch your face and to wash your hands a lot and disinfect surfaces that's really part of everyone's actually routine practice all the time but especially now when we're faced with the pandemic like this so we've talked a lot about social distancing and I'm wondering if you can share really what the purpose is does it really the number of total infections or does it simply slow the pace of infection or spread it out over a longer period of time um so this virus is new but it's not the first respiratory virus that we've dealt with as a country or that we've thought through and so we do know a lot about how these kind of viruses spread and therefore what we're talking about is both of those things if we can bend that curve we can decrease the overall number of people that are sick but we can also decrease the number of people that are sick week by week and both of those things are important obviously having less people overall get sick would be great but also if we can decrease the number of new cases week by week it can really help our healthcare sector have fewer patients to have to treat and make it easier for them to treat the patients that they have and so both of those things are true and both of those things are the goal of this mitigation strategies staying apart is the most effective thing that we can do right now in terms of vaccine development can you tell us what the status is and when these vaccines will realistically be available to the general population these one clinical trials are starting now and that's the early earliest clinical trial where the vaccine is given to a small number of people but the vaccine development process takes a while you've been with so many researchers across the world working on vaccines we expect it'll be 12 months maybe even 18 months before the vaccine is ready for most Americans to get it and that's because before a vaccine is given to the population we need to make sure that it works and we need to make sure it's safe and what that means for you all is that right now our toolkit doesn't have a vaccine in it that's why we are so focused on social distancing so if the government requires a mandated lockdown for an extended period of time like two months or more in order to do what you were speaking about flattening the curve and preventing the spread of the virus how likely is it for the virus to resurface months or years from now even though these extreme measures were in so I think that we're gonna learn a lot from other countries that have had to deal with this before we do but remember that this is a new disease but we know a lot about diseases like this and our goal to mitigate is the thing that makes the right sense the most sense now if for example we we mitigated it now and it came back a year from now it would look a lot different because we'd like we have a vaccine and also people would have been already exposed and we would have better tools better treatments better Diagnostics so if things could look a lot better even if we have to face this again one more question how long should employees remain at home if they're no longer showing signs of illness especially if they were never tested so this depends a little bit on what your community is doing and so I would say that what you need to look to first is what's going on in your local community in terms of rates of disease and guidance we do have guidance for how how quickly people who are who have had kovin 19 should remain at home basically isolated and in this context isolation is really what we do when somebody who is sick stays at home so we do have guidance on our website for how long somebody should stay at home if they have signs of illness even if they were never tested and guidances on our website but even if you get better if you can stay home and socially distance we're still recommending that you do thank you thank you so much for joining us today unfortunately dr

mus mua has to go if we didn't get a chance to answer your specific question please go ahead and check out our website which is WWE TV of backslash Cova to COV ID thanks again for joining us and let's work together to flatten the curve

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